SURGICAL SPECIALIST OF LONG ISLAND, PC
NPI 1871996223
Surgery in Commack, NY

Q: What is Surgical Specialist Of Long Island, PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since September 30, 2014

2171 JERICHO TPKE STE 100, COMMACK, NY 11725(631) 486-5030(631) 724-4229 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Surgical Specialist Of Long Island, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SURGICAL SPECIALIST OF LONG ISLAND, PC (NPI 1871996223) is a healthcare organization registered as a surgery in Commack, New York and active in the NPI registry since September 2014. The organization maintains a secondary practice location in Smithtown and lists Tara Dawn Martinez, Physician, as its authorized official.

NPPES Registry Identity

NPI1871996223

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameSURGICAL SPECIALIST OF LONG ISLAND, PC

Location Address2171 JERICHO TPKE STE 100Commack, NY 11725-2900

Mailing Address2171 Jericho Tpke Ste 100Commack, NY 11725-2900 · (631) 486-5030 · Fax (631) 724-4229

Phone(631) 486-5030

Fax(631) 724-4229

Organization SubpartNo

Authorized OfficialTara Dawn MartinezPhysician · (631) 486-5030

Enumeration DateSeptember 30, 2014

Last NPPES UpdateApril 21, 2022

NPPES CertifiedOctober 28, 2021

✔ NPI 1871996223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

2171 JERICHO TPKE STE 100, Commack, NY 11725

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Secondary Practice Location 1

Location 1989 W Jericho TpkeSmithtown, NY 11787-3241 · Phone (631) 486-5030 · Fax (631) 724-4229

Other Identifiers 1

Medicaid03582670NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEWIN, FAGEN & LOWN, M.D. P.C.

Internal Medicine

2171 JERICHO TPKE STE 100
COMMACK, NY 11725

Suffolk County (631) 864-4499

DR. TARA DAWN MARTINEZ DO

Colon & Rectal Surgery

2171 JERICHO TPKE STE 100
COMMACK, NY 11725

Suffolk County (631) 486-5030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Surgical Specialist Of Long Island, PC's NPI number?

The NPI number for Surgical Specialist Of Long Island, PC is 1871996223. It was assigned to this organization in the NPPES registry on September 30, 2014.

Where is Surgical Specialist Of Long Island, PC located?

Surgical Specialist Of Long Island, PC is located at 2171 Jericho Tpke Ste 100, Commack, NY 11725. The listed phone number is (631) 486-5030.

What is Surgical Specialist Of Long Island, PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Surgical Specialist Of Long Island, PC was last updated on April 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.